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In fear of the most loved ones. A comprehensive review on Capgras misidentification phenomenon and case report involving attempted murder under Capgras syndrome in a relapse of a schizophrenia spectrum disorder.
J Forensic Leg Med 2019; 66:8-24JF

Abstract

The present paper aims to describe a case of a schizophrenia spectrum disorder relapse leading to attempted murder, review literature, and investigate the epidemiological data and expression of violent behavior among Capgras-related incidents. 109 case reports deriving from various scientific areas dating from 1971 to 2017 were evaluated and juxtaposed with an equivalent comparison group of random psychiatry inpatients, who were examined for the same variables. Quantitative and qualitative differences were observed between samples. High level of interpersonal violence was disclosed among Capgras-related incidents, especially towards the main care-givers, with higher propensity among male patients. Homicidal behavior was also expressed in higher levels among male patients experiencing the Capgras delusion. A multidisciplinary approach is vital for the optimal management of these incidents. Further research on the pathophysiology of Capgras delusion with the utilization of functional imaging techniques is of exceptional significance for the understanding of issues of neuroscience.

Authors+Show Affiliations

Laboratory of Forensic Sciences, Democritus University of Thrace, School of Medicine, GR 68100, Dragana, Alexandroupolis, Greece; Adult Psychiatry, Psychiatric Department, George Papanikolaou General Hospital of Thessaloniki, GR 57010, Exochi, Asvestochorion, Thessaloniki, Greece.Department of Forensic Psychiatry, Psychiatric Hospital of Thessaloniki, GR 56429, Stavroupolis, Thessaloniki, Greece.Laboratory of Forensic Sciences, Democritus University of Thrace, School of Medicine, GR 68100, Dragana, Alexandroupolis, Greece.Second Psychiatry Department, Attikon University Hospital, National and Kapodistrian University of Athens, GR 12462, Chaidari, Greece.Laboratory of Forensic Sciences, Democritus University of Thrace, School of Medicine, GR 68100, Dragana, Alexandroupolis, Greece. Electronic address: pavlidi@med.duth.gr.

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

31176280

Citation

Karakasi, Maria Valeria, et al. "In Fear of the Most Loved Ones. a Comprehensive Review On Capgras Misidentification Phenomenon and Case Report Involving Attempted Murder Under Capgras Syndrome in a Relapse of a Schizophrenia Spectrum Disorder." Journal of Forensic and Legal Medicine, vol. 66, 2019, pp. 8-24.
Karakasi MV, Markopoulou M, Alexandri M, et al. In fear of the most loved ones. A comprehensive review on Capgras misidentification phenomenon and case report involving attempted murder under Capgras syndrome in a relapse of a schizophrenia spectrum disorder. J Forensic Leg Med. 2019;66:8-24.
Karakasi, M. V., Markopoulou, M., Alexandri, M., Douzenis, A., & Pavlidis, P. (2019). In fear of the most loved ones. A comprehensive review on Capgras misidentification phenomenon and case report involving attempted murder under Capgras syndrome in a relapse of a schizophrenia spectrum disorder. Journal of Forensic and Legal Medicine, 66, pp. 8-24. doi:10.1016/j.jflm.2019.05.019.
Karakasi MV, et al. In Fear of the Most Loved Ones. a Comprehensive Review On Capgras Misidentification Phenomenon and Case Report Involving Attempted Murder Under Capgras Syndrome in a Relapse of a Schizophrenia Spectrum Disorder. J Forensic Leg Med. 2019;66:8-24. PubMed PMID: 31176280.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - In fear of the most loved ones. A comprehensive review on Capgras misidentification phenomenon and case report involving attempted murder under Capgras syndrome in a relapse of a schizophrenia spectrum disorder. AU - Karakasi,Maria Valeria, AU - Markopoulou,Maria, AU - Alexandri,Maria, AU - Douzenis,Athanasios, AU - Pavlidis,Pavlos, Y1 - 2019/05/31/ PY - 2018/05/03/received PY - 2018/10/04/revised PY - 2019/05/27/accepted PY - 2019/6/9/pubmed PY - 2019/8/14/medline PY - 2019/6/9/entrez KW - Aggression KW - Capgras KW - Forensic psychiatry KW - Forensic science KW - Homicide KW - Matricide KW - Misidentification syndrome KW - Violence SP - 8 EP - 24 JF - Journal of forensic and legal medicine JO - J Forensic Leg Med VL - 66 N2 - The present paper aims to describe a case of a schizophrenia spectrum disorder relapse leading to attempted murder, review literature, and investigate the epidemiological data and expression of violent behavior among Capgras-related incidents. 109 case reports deriving from various scientific areas dating from 1971 to 2017 were evaluated and juxtaposed with an equivalent comparison group of random psychiatry inpatients, who were examined for the same variables. Quantitative and qualitative differences were observed between samples. High level of interpersonal violence was disclosed among Capgras-related incidents, especially towards the main care-givers, with higher propensity among male patients. Homicidal behavior was also expressed in higher levels among male patients experiencing the Capgras delusion. A multidisciplinary approach is vital for the optimal management of these incidents. Further research on the pathophysiology of Capgras delusion with the utilization of functional imaging techniques is of exceptional significance for the understanding of issues of neuroscience. SN - 1878-7487 UR - https://www.unboundmedicine.com/medline/citation/31176280/In_fear_of_the_most_loved_ones__A_comprehensive_review_on_Capgras_misidentification_phenomenon_and_case_report_involving_attempted_murder_under_Capgras_syndrome_in_a_relapse_of_a_schizophrenia_spectrum_disorder_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1752-928X(18)30256-7 DB - PRIME DP - Unbound Medicine ER -